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Many people are familiar with hypertension, which is not only one of the most common vascular diseases, but also one of the causes of nephropathy. Conversely, some patients will also have renal hypertension after the occurrence of nephropath

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How to Lower High Blood Pressure for Kidney Patients

2019-03-28 17:19

How to Lower High Blood Pressure for Kidney PatientsProteinuria has a significant impact on renal function in the treatment of kidney disease. In addition, there is another indicator that can be said to be in line with proteinuria. It is high blood pressure. How to lower high blood pressure for kidney patients? Go on reading to learn more information.

Many people are familiar with hypertension, which is not only one of the most common vascular diseases, but also one of the causes of nephropathy. Conversely, some patients will also have renal hypertension after the occurrence of nephropathy, the incidence of which is 58% to 86.2%, while patients who are already in the stage of renal failure, even as high as 80% of patients have hypertension.

Why are kidney disease and hypertension closely related?

There are two main types of hypertension:

1. High blood pressure caused by imbalance of water and sodium. Kidney plays an important role in regulating the balance of water and electrolyte. Once damaged, these functions will also be abnormal, resulting in water and sodium excretion disorders, and then lead to increased blood volume, increased vascular pressure, and increased blood pressure.

2. Damage to kidney parenchyma leads to an increase in renin and an increase in angiotensin II activity, which can lead to contraction of arterial wall, resulting in retention of water and sodium so as to cause an increase in blood pressure. The more this substance, the more serious the blood pressure is.

Renal hypertension has multiple hazards. Long-term elevated blood pressure will lead to severe ischemia and hypoxia in the kidney, which will aggravate the damage of the kidney, aggravate proteinuria and decrease glomerular filtration rate (GFR). In turn, it will aggravate the rise of blood pressure and form a vicious circle. In addition, high blood pressure also increases the risk of cardiovascular disease, especially after renal failure, cardiovascular disease has become one of the diseases threatening the health of patients, no less than uremia.

To avoid such a dangerous situation, whether you have high blood pressure before kidney disease, or after kidney disease, you should pay attention to strict control of blood pressure stability. At present, taking antihypertensive drugs is the most effective method for hypertension.

What antihypertensive drugs are suitable for kidney patients?

1. ACEI or ARB antihypertensive drugs

These two drugs not only have antihypertensive effect, but also have the function of reducing proteinuria level and delaying renal function, so they can be used as the first choice for the treatment of hypertension in kidney disease. These drugs are inhibitors of the renin-angiotensin system. We mentioned above that an increase in renin stimulates an increase in angiotensin II, leading to an increase in blood pressure. These drugs are mainly blocked by inhibiting renin and angiotensin II receptors and play a role in lowering blood pressure levels.

The common drugs are ACEI and ARBs, which have the same anti-hypertension principle. Generally, only one of them can be chosen. It should be noted that these drugs are mainly used in patients with nephropathy whose renal function is still sound. If serum creatinine is examined at 265 micron oI/L, patients with renal insufficiency can not take them. In addition, patients with bilateral renal artery stenosis and pregnancy can not use these drugs.

2. Thiazide diuretics

Some patients with the problem of sodium retention have not only elevated blood pressure, but also severe edema. Diuretic antihypertensive drugs can be chosen at this time. Thiazide diuretics, such as hydrochlorothiazide and chlorothiazide, are commonly used. The effect of these drugs is mainly related to the condition of renal function in kidney patients. If the renal function is seriously damaged, resulting in serious retention of water and sodium, the effect may not be obvious. Generally, other antihypertensive drugs can be used together, and the antihypertensive effect will be better. However, kidney patients with high uric acid or gout can not take these drugs.

In addition to taking antihypertensive drugs, kidney patients also need to adhere to a low-salt diet and appropriate exercise so as to help medicines take effect fully. For more information on kidney disease treatment, please leave a message below or contact online doctor.

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Our Treatment Effect

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You can take a look at this patient's report. His creatinine was 1028 and urea level was 39.7 on 2018-12-11; creatinine level was reduced to 331 and urea was 16.1 on 2019-1-5. After about 25 days' treatment in our hospital, his creatinine level was reduced by 697, and urea was reduced by 23.6. Hope his condition gets better and better.

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Proteinuria is a common symptom of kidney disease

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It can make your urine foamy. Although it does not make you feel uncomfortable, it can impair your renal function and make your kidney disease worse. Conventional treatment such as steroids and immunosuppressants can hardly make it negative. In our hospital, systemic Chinese medicine treatment can help you turn it negative. Look at this picture, bubbles in urine become less and less with our treatment going on.